Tips and Tricks of Endoscopic Anatomical Enucleation of the Prostate

Pierluigi Bove, MD

Pierluigi Bove, MD, presented “Tips and Tricks of Endoscopic Anatomical Enucleation of the Prostate” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 5, 2025, in Jackson Hole, Wyoming.

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How to cite: Bove, Pierluigi. “Tips and Tricks of Endoscopic Anatomical Enucleation of the Prostate.” February 5, 2025. Accessed Oct 2026. https://grandroundsinurology.com/tips-and-tricks-of-endoscopic-anatomical-enucleation-of-the-prostate/

Tips and Tricks of Endoscopic Anatomical Enucleation of the Prostate – Summary

Pierluigi Bove, MD, explores the nuances of endoscopic enucleation of the prostate, emphasizing surgical technique, device selection, and procedural optimization. In this 19-minute presentation, Dr. Bove shares key insights on achieving optimal outcomes.

Laser enucleation is now well-established in guidelines, offering a versatile option for various prostate sizes. He indicates the choice between holmium and thulium laser depends on the surgeon’s expertise, as both offer effective outcomes. Dr. Bove highlights the importance of precise anatomical dissection. Pulse modulation technology improves energy delivery, enhancing efficiency and reducing coagulation depth.

Dr. Bove shares his structured approach with a video of a procedure. He begins with a U-shaped incision at the apex, mucosal release, and stepwise enucleation of lobes to maintain orientation and clear visualization during morcellation. He shares practical tips for trainees, stressing mentorship, recognizing anatomical planes, and prioritizing hemostasis to ensure safe and effective procedures.

About The 44th Annual Ralph E. Hopkins Urology Seminar:

The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.

For further educational activities from this conference, visit our collection page.

ABOUT THE AUTHOR

Pierluigi Bove, MD

Pierluigi Bove, MD, is the Head of the U.R.M.I. Unit for Robotic and Minimally Invasive Urology and an Associate Professor of Urology at Tor Vergata University of Rome, Italy, Rome, Italy. Dr. Bove specializes in robotic surgery, laser treatment of benign prostatic hyperplasia, focal therapy for prostate cancer, endoscopic surgery for urinary stone disease, surgical treatment of male and female urinary incontinence, and penile prosthesis implantation for erectile dysfunction.

About The Author

Pierluigi Bove, MD

Pierluigi Bove, MD, is the Head of the U.R.M.I. Unit for Robotic and Minimally Invasive Urology and an Associate Professor of Urology at Tor Vergata University of Rome, Italy, Rome, Italy. Dr. Bove specializes in robotic surgery, laser treatment of benign prostatic hyperplasia, focal therapy for prostate cancer, endoscopic surgery for urinary stone disease, surgical treatment of male and female urinary incontinence, and penile prosthesis implantation for erectile dysfunction. He earned his medical degree with an emphasis on General Medicine and Surgery and completed a residency in Urology at Tor Vergata University of Rome, Italy. Dr. Bove completed a Research Fellowship under Prof. Louis R. Kavoussi at Johns Hopkins University in Baltimore, Maryland. He then completed a Surgical Fellowship under Prof. Fernando J. Kim at the University of Colorado, Denver. Dr. Bove completed a masterclass in Laparoscopic Radical Prostatectomy under Prof. Guy Vallancien at the Université René Descartes in Paris, France. Dr. Bove then earned a Second Level Master’s Degree in Andrology at the University of Pisa in Italy and is qualified as a console surgeon for the da Vinci® surgical system. Dr. Bove also serves as the Principal Investigator for several scientific studies and research projects. He is a member of the scientific board of the Italian Endourological Association (IEA), the Italian Group for Advanced Laparo-Endoscopic and Robotic Urologic Surgery (AGILE), the Torvergata Oncoscience Research (TOR) group, the Surgical Advisory Board at Boston Scientific – Benign Prostatic Hyperplasia, and several multicentric research groups. Dr. Bove has performed over 4,500 major urological surgery procedures as first operator, primarily with a minimally-invasive approach (pure laparoscopic or robot-assisted). He has authored and co-authored over 150 publications. He has performed over 4,500 major urological surgical procedures as the first operator, mostly with a minimally invasive approach (pure laparoscopic or robot-assisted).

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